What it is, what it means and how to treat it

  • A keto rash, also known as itchy pigmentosa, is a rash that causes red spots on the torso and back.
  • The rash occurs because eating a keto diet can cause inflammation in the body.
  • A ketogenic rash is a sign that you should stop ketosis if you are on a diet for non-medical reasons.
  • Visit the Insider Health Reference Library for more tips.

He ketogenic diet It comes with a number of potential health benefits, but it can also have unintended consequences, including a keto rash.

This rash is a form of dermatitis called itchy pigment, and causes raised red spots on the back, shoulders and abdomen.

The cause is unclear, but the rash usually resolves in a few weeks once you stop ketosis, but can leave lasting discoloration on the skin.

Luckily, most people who try the


ketogenic diet

you will not experience the eruption. “The keto eruption is very rare,” he says Marina Peredo, MD, a dermatologist with Skin influence.

But if you develop it, here’s what you need to know about the causes of ketogenic eruption and how to get rid of it.

What causes ketogenic eruption?

The rash most often occurs in young Asian women, but research shows it can happen to anyone, especially if they follow a ketogenic diet.

Itching pigmentosa also occurs in people who:

  • Having eating disorders such as anorexia
  • Having autoimmune disorders including Sjogren’s syndrome
  • They are pregnant

Doctors aren’t exactly sure what caused the rash, but it is he believed that a change in the gut microbiome of sudden changes in eating habits may contribute, he says Kristi Artz, MD, medical director of Spectrum Health Medicine Lifestyle.

“Typically, healthy gut microbes thrive on high-fiber foods which are often eliminated from a keto diet, ”he says.

What if I have a ketogenic rash?

In general, ketogenic rash is a sign that you should stop ketosis because it is not beneficial to your body, says Artz.

The rash is a sign of inflammation and may indicate that the ketogenic diet is causing inflammation elsewhere in the body, he says.

“The ketogenic rash is just an additional manifestation of the inflammation that often occurs following a ketological diet,” he says.

Here are five ways to get rid of a ketogenic rash. Some require you to quit the keto diet, but if you have to follow it for medical reasons, there are also tips for these circumstances.

1. Eat more carbs

Stopping ketosis will help relieve the rash. To end ketosis, you simply need to eat more carbohydrates. But the type of carbs you eat is important.

Artz recommends focusing on high-fiber fruits and vegetables such as bananas and green leafy vegetables to help rebalance the gut microbiome.

“Reintroduction of whole fiber-rich plant foods will likely result in a decrease in total body inflammation and resolution of the rash,” he says.

2. Eat anti-inflammatory foods

Prurigo pigmentosa is a form of inflammation, so go ahead an anti-inflammatory diet it can help you fight it.

“The complex carbohydrates found in whole grains, beans, legumes, fruits and vegetables promote health and fight inflammation,” says Artz.

Along with complex carbohydrates, foods high in healthy fats such as salmon and olive oil, as well as nuts and berries are part of an anti-inflammatory diet.

3. Take antibiotics

If you have a condition like epilepsy that requires you to follow a keto diet, then changing your eating habits is not an option.

In this case, you may be able to do so treat the rash without ending the ketosis by using


antibiotics

.

Doctors aren’t entirely sure why antibiotics work, but they do thought to change the movement of white blood cells around the rash, which decreases the symptoms.

If you don’t have a medical cause to follow your diet, it’s best to listen to your body and change your eating habits instead of taking a medication, Artz says.

4. Adjust your exercise routine

Exercise is strong anti-inflammatory properties and it can help the rash resolve quickly, Artz says. Opt for low-stress exercises such as walking or yoga.

There is one exception: endurance exercise for more than two hours can promote ketosis and possibly worsen the eruption, Peredo says. If you have been exercising for long periods of time, consider reducing it until the rash resolves.

5. Address nutritional deficiencies

Most keto diets are not well rounded and can lead to it deficiencies in certain nutrients. This, in turn, can cause skin diseases, including dermatitis, although this is different from the keto eruption.

“Ketological diets rich in animal protein and fat followed over a period of time can cause deficiencies in vitamin C and other antioxidants and micronutrients found in whole plant foods,” says Artz.

Address deficiencies with a more balanced diet and possibly a multivitamin can help treat the keto rash.

Treatment of ketogenic rash and when to consult a doctor

As long as the eruption persists, you should moisturize the area, says Peredo. Try to avoid touching or rubbing it and opt for loose clothing, he says.

Ketogenic eruption in general it resolves itself in a few weeks to stop ketosis, but may leave a reticulated pattern, resembling a leaf or a giraffe, on the skin indefinitely.

If the rash spreads over most of your body or appears to be resolving once you stop the keto diet, see a doctor, Artz says.

You should also see a doctor immediately if the rash is accompanied by fever, chills, or other related symptoms.

Takeaway food

Ketogenic eruption is rare. Doctors aren’t sure why this is happening, but they think changes in the gut microbiome and subsequent inflammation caused by a lack of fiber may be contributing.

The rash is an indication that your body does not tolerate


ketogenic diet

Well, says Artz, and the best treatment is to stop ketosis unless you are on a ketological diet for medical reasons.

https://www.insider.com/keto-rash

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